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Document Typology: Web Article
Methodology addressed by the publication:Narrative medicine
Title of document: Aspects when taking care of a patient with cancer
Name of author(s): Gabriela Clement
Name of publisher:
Language of the publication: Romanian
Language of the review: English

The article presents the implications of the relationship between doctor and patient when the patient is suffering from cancer. In this case it is indicated that the relationship within the patient and the doctor to focus on honesty.
Cancer patient needs a clear explanation of his illness. The information must be provided individually with great care and tact, taking into account what the patient really wants to know: "to explain everything in words carefully chosen and adapted to the situation of course, not all in the same time, but in the course of several conversations. "
The diagnosis should be presented in a comprehensible form so that communication will be possible and especially useful.
Effective communication in doctor-patient relationship will lead to maintenance of hope and a useful and sincere cooperation will have a favorable effect on the disease’s progression. The doctor will have the satisfaction of the work well done, and the patient will be able to look to the new reality and get the help they need.
Since cancerous diseases are associated with lack of hopes, fears regarding the loss of life, cancer patients puts its hope in the doctor (oncologist), from which we expect, beyond the prescribed treatment, to encourage, support the patient.
It happens often that the relationship between patient and physician to be poor and thus receiving less attention, their isolation will increase further. On the other hand, some health professionals may feel poorly motivated, frustrated because "cancer patients" cannot be classified as "clinical successes".
The desire for healing is maybe achieved through favorable therapeutic effects obtained by the mechanism of the placebo; group psychotherapy and psychoanalytic processes.
Regarding the placebo mechanism, as important roles have the: science doctor (or healer) therapeutic remedy (drug placebo), the personality of the doctor. Patient confidence in the possibilities of medical science has a less significant role. More important is faith in the therapeutic remedy that is being used.
Also the priest is often beneficial for patients. Another important role has the psychotherapist who works and communicates constantly with the doctor in charge of the patient care, to effectively help the patient.
Supportive therapy is also indicated in cancer care. This treatment focuses on building a relationship established with the object and promoting their security by strengthening the ego and general encouragement.
Many other specialists, oncologists believe that a combination of standard treatment - surgery, chemotherapy, radiotherapy, immunotherapy etc.. - And supportive (palliative) - psychological, psychotherapeutic, etc.. - Offers the best chance to maintain the quality of life.
Reviewer's comments on the document:
It gives the best example on how the relationships between doctors and patient suffering from cancer are built and also the importance of other actors in the life of the patient such as psychotherapist, priest, supportive groups etc.
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